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i <br /> r <br /> -PASCO COUNTY, FLORIDA <br /> Permit No. <br /> Date Permitted <br /> Builder NamelOwner Name Control#' <br /> County Parcel No. aS��_�TLio('f(x��d��!� SubDIV: <br /> Address/Location 7 S Z &jv- jr- <br /> Classification/Type of Usq <br /> TRANSPORTATION IMPACT FEE Rate: Sq.Ft Unit: <br /> Exempt ❑Yes F No How Determined <br /> Impact Fee Amount $. 52= Zone No. TAZ: <br /> SCHOOL IMPACT FEE . <br /> Account (056) Single-Family Detached House Amount $ .4 in/n_2e <br /> (057) Mobile.Horne <br /> (058) Other Residential <br /> 123) Collection Fee <br /> Exempt [ Yes .Q No How Determined <br /> PARKS AND RECREATION FEE <br /> Land Account Land Credit Land Total <br /> Recreation Account Recreation Credit Recreation�Tcottal <br /> Zone TOTAL AMOUNT $ <br /> 4 Exempt ❑Yes No How Determined <br /> LIBRARY FEE <br /> Land Account Land Credit Land Total <br /> Facility Account Facility Credit Facility Total <br /> Exempt ❑Yes ❑ No How Determined Total Amount <br /> RESOURCE FEE ERU <br /> TOTAL AMOUNT <br /> Prepared By Checked By <br /> NO CERTIFICATEAF.,OCCUI?ANCY WILL BE.ISSUED OR FINAL]NSPECTION <br /> PERFORIUIEb UNTIL THE'TOTAL AMOUNTS LISTED HAVE <br /> BEEki PAID AND <br /> RECEIPTED FOR BY A CENTRAL'P'ERMITTING OFFICE-OF PASCO COUNTY <br /> Acknowledgement below does,not imply acceptance,cf concurrence,but simpiy,recelpt of a copy,ofthis form,placing <br /> the building permit dwneron noticd.of this assessment and'ttie:corWitions of Oaymentfor same. <br /> DATE RECEIVED BY <br /> RECEIPT NO. DATE BY <br />